NPIMap

Organization Active NPI

Orthopaedic Specialty Group LLC

  • Orthopaedic Surgery Physician
  • Vineland, NJ
National Provider Identifier
1083932768
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC SPECIALTY GROUP LLC
Practice address
994 W Sherman Ave
Building 1
Vineland, NJ 08360-6932
Phone
(856) 696-0900
Fax
(856) 692-4769
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jennifer Vanderbeck, MD
Title
President
Phone
(856) 696-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X NJ Primary

Addresses

Primary practice location

994 W Sherman Ave
Building 1
Vineland, NJ 08360-6932

Mailing address

994 W Sherman Ave
Building 1
Vineland, NJ 08360-6932
Phone (856) 696-0900

National Provider Directory

National Provider Directory

Locations

2848 S Delsea Dr
Ste 1
Vineland, NJ 08360
Phone (856) 696-2010

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1083932768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 W SHERMAN AVE",
            "address_2": "BUILDING 1",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606932",
            "telephone_number": "856-696-0900",
            "fax_number": "856-692-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 W SHERMAN AVE",
            "address_2": "BUILDING 1",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606932",
            "telephone_number": "856-696-0900",
            "fax_number": "856-692-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SPECIALTY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "VANDERBECK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-696-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.